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Home > Attorneys and Insurers > Current Guidelines > Whiplash/Croft Guideline
 
The following injury categories and treatment guidelines have been formally accepted by the Ohio State Chiropractic Association as an acceptable guideline pertaining to Low Speed Rear Impact Collision (LOSRIC).


Injury Category Croft Scale

Table I : Grades of Severity of Injury
 Grade I  Minimal: No limitation of motion; no ligamentous injury; no neurological  findings.
 Grade II  Slight: Limitation of motion; no ligamentous injury; no neurological findings.
 Grade III  Moderate: Limitation of motion; ligamentous instability; neurological  symptoms.
 Grade IV  Moderate to Severe: Limitation of motion; some ligamentous injury;  neurological symptoms; fracture or disc derangement.


Number of Treatments Guides to Treatment

Table II: Guidelines for Frequency and Duration of Care in Cervical Acceleration/Deceleration Trauma2 f
  Daily 3x/wk 2x/wk 1x/wk 1x/mo TD TN
Grade I 1 wk 1-2 wk 2-3 wk <4 wk _1 <11 wk <21
Grade II 1 wk <4 wk <4 wk <4 wk <4 mo <29 wk <33
Grade III 1-2 wk <10 wk <10 wk <10 wk <6 mo <56 wk <76
Grade IV 2-3 wk <16 wk <12 wk <20 wk _ 2 _ 2 _ 2
Grade V Surgical stabilization necessary--chiropractic care is post surgical.
TD = treatment duration; TN = treatment number.
1 Possible follow-up at 1 month.
2 May require permanent monthly or prn (as needed) treatment.
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